Recent progress of self-powered respiration monitoring systems

Tribo-charge enhanced and cellulose based biodegradable nanofibrous membranes with highly fluffy structure for air filtration and self-powered respiration monitoring systems

Recently, the demand for healthcare products especially wearable smart masks is increasing. The biosafety and degradability of smart masks are crucial for human health and environmental protection. However, the development of biodegradable and biocompatible fibrous membranes with high filtration efficiency and low pressure drop is still a challenge. How to realize the collaborative improvement between air filtration efficiency and pressure drop of the nanofibrous membrane is still a challenge. Here, a tribo-charge enhanced and biodegradable nanofibrous membranes (TCB NFMs) with highly fluffy structure for air filtration and self-powered respiration monitoring systems is reported for the first time. The filtration efficiency and pressure drop of the prepared membranes for 0.3 µm NaCl particulates is 99.971% and 41.67 Pa. The TCB NFMs based smart mask possesses a series of satisfactory and excellent characteristics, such as self-powered, biodegradable, biocompatible, high filtration efficiency, and low pressure drop, which is highly promising for application in air filtration systems and intelligent wearable respiration monitoring systems.

High Signal to Noise Ratio Piezoelectric Thin Film Sensor Based on Elastomer Amplification for Ambulatory Blood Pressure Monitoring

Continuous pulse wave detection can be used for monitoring and diagnosing cardiovascular diseases, and research on pulse sensing based on piezoelectric thin films is one of the hot spots. Usually, piezoelectric thin films do not come into direct contact with the skin and need to be connected through a layer of an elastic medium. Most views think that the main function of this layer of elastic medium is to increase the adhesion between the sensor component and the skin, but there is little discussion about the impact of the elastic medium on pulse vibration transmission. Here, we conducted a detailed study on the effects of Young's modulus and the thickness of elastic media on pulse sensing signals. The results show that the waveform amplitude of the piezoelectric sensing signal decreases with the increase of Young's modulus and thickness of the elastic medium. Then, we constructed a theoretical model of the influence of elastic media on pulse wave propagation. The amplitude of the pulse wave signal detected by the optimized sensor was increased to 480%. Our research shows that by regulating Young's modulus and thickness of elastic media, pulse wave signals can undergo a similar amplification effect, which has an important theoretical reference value for achieving ambulatory blood pressure monitoring based on high-quality pulse waves.

Microbial biofilms for self-powered noncontact sensing

Noncontact sensing technology plays a vital role in the intelligent human-machine interface, as the essential medium for exchanging information between human and electronic devices. To date, several inorganic materials-based noncontact sensing techniques have been used to accurately detect touch, electrical property, and physical motion. However, limited available materials, dependence on additional power supplies, and poor power production performance, have seriously obstructed the practical applications of noncontact sensing technology. Here, we developed simple self-powered noncontact sensors (SNSs) assembled using a typical G. sulfurreducens biofilm as the core component. In noncontact mode, the sensor demonstrated excellent self-powered sensing performance with maximum voltage output of 10 V and a current of 60 nA, a maximum sensing range of 40 cm which is the farthest reported to date. Depending on its excellent sensing characteristic, the SNSs was used to monitor human breathing in this work. Furthermore, an array of united SNSs was able to localize external electric fields and effectively extend the sensing area by increasing the number of devices. Compared to traditional inorganic materials, microbial biofilms have the advantages of wide existence, self-proliferation, low cost, environmental friendliness, and ultra-fast self-healing property (seconds level). The proposed biofilm SNSs in our work provides new insights for noncontact power generation of biomaterials and self-driven sensing.

Self-powered triboelectric nanogenerator sensor for detecting humidity level and monitoring ethanol variation in a simulated exhalation environment

Respiration stands as a vital process reflecting physiological and pathological human health status. Exhaled breath analysis offers a facile, non-invasive, swift, and cost-effective approach for diagnosing and monitoring diseases by detecting concentration changes of specific biomarkers. In this study, we employed Polyethylene oxide/copper (I) oxide composite nanofibers (PCNFs), synthesized via the electrospinning method as the sensing material to measure ethanol levels (1-200 ppm) in an exhaled breath simulator environment. The integrated contact-separation triboelectric nanogenerator was utilized to power the self-powered PCNFs exhaled breath sensor. The PCNFs-based gas sensor demonstrates promising results with values of 0.9 and 3.2 for detecting 5 ppm and 200 ppm ethanol, respectively, in the presence of interfering gas at 90% relative humidity (RH). Notably, the sensor displayed remarkable ethanol selectivity, with ratios of 10:1 to methanol and 25:1 to acetone. Response and recovery times for 200 ppm ethanol at 90 RH% were rapid, at 2.7 s and 5.8 s, respectively. The PCNFs-based exhaled breath sensor demonstrated consistent and stable performance in practical conditions, showcasing its potential for integration into wearable devices. This self-powered breath sensor enabling continuous monitoring of lung cancer symptoms and facilitating compliance checks with legal alcohol consumption limits.

Self-Powered Biosensors for Monitoring Human Physiological Changes

Human physiological signals have an important role in the guidance of human health or exercise training and can usually be divided into physical signals (electrical signals, blood pressure, temperature, etc.) and chemical signals (saliva, blood, tears, sweat). With the development and upgrading of biosensors, many sensors for monitoring human signals have appeared. These sensors are characterized by softness and stretching and are self-powered. This article summarizes the progress in self-powered biosensors in the past five years. Most of these biosensors are used as nanogenerators and biofuel batteries to obtain energy. A nanogenerator is a kind of generator that collects energy at the nanoscale. Due to its characteristics, it is very suitable for bioenergy harvesting and sensing of the human body. With the development of biological sensing devices, the combination of nanogenerators and classical sensors so that they can more accurately monitor the physiological state of the human body and provide energy for biosensor devices has played a great role in long-range medical care and sports health. A biofuel cell has a small volume and good biocompatibility. It is a device in which electrochemical reactions convert chemical energy into electrical energy and is mostly used for monitoring chemical signals. This review analyzes different classifications of human signals and different forms of biosensors (implanted and wearable) and summarizes the sources of self-powered biosensor devices. Self-powered biosensor devices based on nanogenerators and biofuel cells are also summarized and presented. Finally, some representative applications of self-powered biosensors based on nanogenerators are introduced.

Current development of stretchable self-powered technology based on nanomaterials toward wearable biosensors in biomedical applications

In combination with the growing fields of artificial intelligence and Internet-of-things (IoT), the innovation direction of next-generation biosensing systems is toward intellectualization, miniaturization, and wireless portability. Enormous research efforts have been made in self-powered technology due to the gradual decline of traditional rigid and cumbersome power sources in comparison to wearable biosensing systems. Research progress on various stretchable self-powered strategies for wearable biosensors and integrated sensing systems has demonstrated their promising potential in practical biomedical applications. In this review, up-to-date research advances in energy harvesting strategies are discussed, together with a future outlook and remaining challenges, shedding light on the follow-up research priorities.

Wearable respiratory sensors for COVID-19 monitoring

Since its outbreak in 2019, COVID-19 becomes a pandemic, severely burdening the public healthcare systems and causing an economic burden. Thus, societies around the world are prioritizing a return to normal. However, fighting the recession could rekindle the pandemic owing to the lightning-fast transmission rate of SARS-CoV-2. Furthermore, many of those who are infected remain asymptomatic for several days, leading to the increased possibility of unintended transmission of the virus. Thus, developing rigorous and universal testing technologies to continuously detect COVID-19 for entire populations remains a critical challenge that needs to be overcome. Wearable respiratory sensors can monitor biomechanical signals such as the abnormities in respiratory rate and cough frequency caused by COVID-19, as well as biochemical signals such as viral biomarkers from exhaled breaths. The point-of-care system enabled by advanced respiratory sensors is expected to promote better control of the pandemic by providing an accessible, continuous, widespread, noninvasive, and reliable solution for COVID-19 diagnosis, monitoring, and management.

Emerging Development of Auto-Charging Sensors for Respiration Monitoring

In recent years, the development of biomedical monitoring systems, including respiration monitoring systems, has been accelerated. Wearable and implantable medical devices are becoming increasingly important in the diagnosis and management of disease and illness. Respiration can be monitored using a variety of biosensors and systems. Auto-charged sensors have a number of advantages, including low cost, ease of preparation, design flexibility, and a wide range of applications. It is possible to use the auto-charged sensors to directly convert mechanical energy from the airflow into electricity. The ability to monitor and diagnose one's own health is a major goal of auto-charged sensors and systems. Respiratory disease model output signals have not been thoroughly investigated and clearly understood. As a result, figuring out their exact interrelationship is a difficult and important research question. This review summarized recent developments in auto-charged respiratory sensors and systems in terms of their device principle, output property, detecting index, and so on. Researchers with an interest in auto-charged sensors can use the information presented here to better understand the difficulties and opportunities that lie ahead.

Hydraulic Detrusor for Artificial Bladder Active Voiding

The gold standard treatment for bladder cancer is radical cystectomy that implies bladder removal coupled to urinary diversions. Despite the serious complications and the impossibility of controlled active voiding, bladder substitution with artificial systems is a challenge and cannot represent a real option, yet. In this article, we present hydraulic artificial detrusor prototypes to control and drive the voiding of an artificial bladder (AB). These prototypes rely on two actuator designs (origami and bellows) based either on negative or positive operating pressure, to be combined with an AB structure. Based on the bladder geometry and size, we optimized the actuators in terms of contraction/expansion performances, minimizing the liquid volume required for actuation and exploring different actuator arrangements to maximize the voiding efficiency. To operate the actuators, an ad hoc electrohydraulic circuit was developed for transferring liquid between the actuators and a reservoir, both of them intended to be implanted. The AB, actuators, and reservoir were fabricated with biocompatible flexible thermoplastic materials by a heat-sealing process. We assessed the voiding efficiency with benchtop experiments by varying the actuator type and arrangement at different simulated patient positions (horizontal, 45° tilted, and vertical) to identify the optimal configuration and actuation strategy. The most efficient solution relies on two bellows actuators anchored to the AB. This artificial detrusor design resulted in a voiding efficiency of about 99%, 99%, and 89%, in the vertical, 45° tilted, and horizontal positions, respectively. The relative voiding time was reduced by about 17, 24, and 55 s compared with the unactuated bladder.

Portable Respiration Monitoring System with an Embroidered Capacitive Facemask Sensor

Respiration monitoring is a very important indicator of health status. It can be used as a marker in the recognition of a variety of diseases, such as sleep apnea, asthma or cardiac arrest. The purpose of the present study is to overcome limitations of the current state of the art in the field of respiration monitoring systems. Our goal was the development of a lightweight handheld device with portable operation and low power consumption. The proposed approach includes a textile capacitive sensor with interdigitated electrodes embroidered into the facemask, integrated with readout electronics. Readout electronics is based on the direct interface of the capacitive sensor and a microcontroller through just one analog and one digital pin. The microcontroller board and sensor are powered by a smartphone or PC through a USB cable. The developed mobile application for the Android™ operating system offers reliable data acquisition and acts as a bridge for data transfer to the remote server. The embroidered sensor was initially tested in a humidity-controlled chamber connected to a commercial impedance analyzer. Finally, in situ testing with 10 volunteering subjects confirmed stable operation with reliable respiration monitoring.

Self-Powered Force Sensors for Multidimensional Tactile Sensing

A tactile sensor is the centerpiece in human-machine interfaces, enabling robotics or prosthetics to manipulate objects dexterously. Specifically, it is crucial to endow the sensor with the ability to detect and distinguish normal and shear forces in real time, so that slip detection and more complex control could be achieved during the interaction with objects. Here, a self-powered multidirectional force sensor (SMFS) based on triboelectric nanogenerators with a three-dimensional structure is proposed for sensing and analysis of normal and shear forces in real time. Four polydimethylsiloxane (PDMS) cylinders act as the force sensing structure of the SMFS. A flexible tip array made of carbon black/MXene/PDMS composites is used to generate triboelectric signals when the SMFS is driven by an external force. The SMFS can sense multidimensional force due to the adaptability of the PDMS cylinders and detect tiny force due to the sensitivity of the flexible tips. A small shear force as low as 50 mN could be recognized using the SMFS. The direction of the externally applied force could be recognized by analyzing the location and output voltage amplitude of the SMFS. Moreover, the tactile sensing applications, including reagent weighing and force direction perception, are also achieved by using the SMFS, which demonstrates the potential in promoting developments of self-powered wearable sensors, human-machine interactions, electronic skin, and soft robotic applications.

Progress of Advanced Devices and Internet of Things Systems as Enabling Technologies for Smart Homes and Health Care

In the Internet of Things (IoT) era, various devices (e.g., sensors, actuators, energy harvesters, etc.) and systems have been developed toward the realization of smart homes/buildings and personal health care. These advanced devices can be categorized into ambient devices and wearable devices based on their usage scenarios, to enable motion tracking, health monitoring, daily care, home automation, fall detection, intelligent interaction, assistance, living convenience, and security in smart homes. With the rapidly increasing number of such advanced devices and IoT systems, achieving fully self-sustained and multimodal intelligent systems is becoming more and more important to realize a sustainable and all-in-one smart home platform. Hence, in this Review, we systematically present the recent progress of the development of advanced materials, fabrication techniques, devices, and systems for enabling smart home and health care applications. First, advanced polymer, fiber, and fabric materials as well as their respective fabrication techniques for large-scale manufacturing are discussed. After that, functional devices classified into ambient devices (at home ambiance such as door, floor, table, chair, bed, toilet, window, wall, etc.) and wearable devices (on body parts such as finger, wrist, arm, throat, face, back, etc.) are presented for diverse monitoring and auxiliary applications. Next, the current developments of self-sustained systems and intelligent systems are reviewed in detail, indicating two promising research directions in this field. Last, conclusions and outlook pinpointed on the existing challenges and opportunities are provided for the research community to consider.

Self-Powered Electrical Impulse Chemotherapy for Oral Squamous Cell Carcinoma

Oral squamous cell carcinoma (OSCC) is a common oral cancer of the head and neck, which causes tremendous physical and mental pain to people. Traditional chemotherapy usually results in drug resistance and side effects, affecting the therapy process. In this study, a self-powered electrical impulse chemotherapy (EIC) method based on a portable triboelectric nanogenerator (TENG) was established for OSCC therapy. A common chemotherapeutic drug, doxorubicin (DOX), was used in the experiment. The TENG designed with zigzag structure had a small size of 6 cm × 6 cm, which could controllably generate the fixed output of 200 V, 400 V and 600 V. The electrical impulses generated by the TENG increased the cell endocytosis of DOX remarkably. Besides, a simply and ingeniously designed microneedle electrode increased the intensity of electric field (EF) between two adjacent microneedle tips compared with the most used planar interdigital electrode at the same height, which was more suitable for three-dimensional (3D) cells or tissues. Based on the TENG, microneedle electrode and DOX, the self-powered EIC system demonstrated a maximal apoptotic cell ratio of 22.47% and a minimum relative 3D multicellular tumor sphere (MCTS) volume of 160% with the drug dosage of 1 μg mL⁻¹.